3/18/2025 12:40PM-1:25PM
S: Alexandra was seen at the Batt School for therapeutic intervention for both a language and speech-sound disorder. She was eager to play/work with SLP throughout the session. Play-based therapy techniques and structured language tasks were utilized throughout the session to target POC goals. O: Alexandra first completed a variety of speech-sound tasks. She began with an activity to help assist with the phonological process of cluster reduction (simplifying consonant clusters (two or more consonants together) by omitting or substituting one or more sounds; e.g. “tuck” for “truck”). She completed the activity with 60% accuracy. Next, Alexandra produced the target sounds /r/ and /sh/ across positions of words when provided with an initial model. She produced the target sounds with the following accuracy: /r/ initial: 60% ; /r/ medial: 30% ; /r/ final: 25% ; /sh/ initial: 65% ; /sh/ medial: 20% ; /sh/ final: 20%. After, Alexandra produced words ending in vocalic /r/ (e.g. star, fur, air, ear, board, flier) given an initial model. She completed the activity with 35% accuracy. Last, Alexandra completed an expressive spatial concepts activity in which she was asked to identify the spatial concept provided given a visual/picture (e.g. a picture of a cow behind a barn with the prompt, “Where is the cow?”). She completed the activity with 60% accuracy. A: Alexandra displays progress/stability on POC goals. Increased stimulability for /sh/ sound noted. P: Continue POC.